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KEPUASAN PASIEN PADA PELAYANAN FISIOTERAPI DI RSUD KOTA KENDARI Ihsan, Ihsan; Harefa, Karnirius; Yosepha Ginting, Desideria
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 3 (2023): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i3.1272

Abstract

With the increasing number of hospitals in Indonesia, service, professionalism and competence must be at a level that represents service quality. The quality of providing special impetus health services, including physiotherapy services, to understand patient expectations, which in turn can increase patient satisfaction and foster patient loyalty. The purpose of this study was to determine the level of patient satisfaction that is tangible, reliable, responsiveness, assurance, and emphatic at Kendari City Hospital. This study uses a phenomenological method and is qualitative in nature. Focus Group Discussion (FGD) analytical techniques were used in conjunction with observation, interviews, and other data collection methods. The results of the research conducted provide a statement that patient satisfaction with physiotherapy services at the Kendari city hospital has not run optimally. Of the five dimensions of service quality, there are four (4) service dimensions that are not optimal in supporting patient satisfaction. These four things are an uncomfortable waiting room, physiotherapists who don't explain procedures, narrow action rooms, rather long registration times, and fast therapy times.
ANALISIS FAKTOR YANG MEMENGARUHI KEPATUHAN MINUM OBAT PASIEN HIPERTENSI DI PUSKESMAS TELUK NIBUNG KOTA TANJUNG BALAI Nurhayati, Nurhayati; Rifai, Achmad; Yosepha Ginting, Desideria
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 3 (2023): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension is a condition where the systolic blood pressure is > 140 mmHg while the diastolic blood pressure is > 90 mmHg on repeated examinations. Nonadherence in taking medication regularly can increase the risk of complications from high blood pressure. The aim of the study was to analyze the factors that influence medication adherence in hypertensive patients at the Teluk Nibung Health Center, Tanjung Balai City, in 2023. This study was an analytic observational study with a cross-sectional study design. The population is all hypertensive patients who carry out outpatient examinations at the Teluk Nibung Health Center, Tanjung Balai City from September 2022 to November 2022, a total of 281 people. The sample used the slovin formula as many as 74 people. The result of this study showed that the influence of age (p=0.000), gender (p=0.000), education (p=0.001), employment (p=0.001), length of suffering (p=0.004), participation in health insurance (p=0.000) , access to health services (p=0.001), knowledge (p=0.000), and family support (p=0.000), from health worker support (p= 0.007) on adherence to taking medication for hypertension patients at the Teluk Nibung Health Center, Tanjung Balai City in 2023. The multivariate result of the variable that most influences adherence to taking medication for hypertensive patients is health insurance participation because it has the largest regression coefficient (B) value of 31.535. It is recommended for people with hypertension to regularly participate in prolanis activities every month, in addition to medical examinations, education for prolanis participants, SMS gateway reminders, home visits and club activities (gymnastics). With these activities can increase patient knowledge about the disease
Penyuluhan Teman Sebaya (Peer Counseling) sebagai Edukator Peningkatan Produksi ASI Juneris Aritonang; Desideria Yosepha Ginting; Yenni Gustiani Tarigan
Jurnal Kabar Masyarakat Vol. 1 No. 1 (2023): Februari : JURNAL KABAR MASYARAKAT
Publisher : Institut Teknologi dan Bisnis Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (858.981 KB) | DOI: 10.54066/jkb-itb.v1i1.85

Abstract

Bayi berusia 0-6 bulan haruslah diberikan hanya ASI saja, informasi terkait cakupan ASI eksklusif didapati sangat rendah. Beberapa data menyebutkan hal ini diakibatkan oleh banyaknya ibu menyusui mengeluhkan produksi ASI yang sedikit. Sehingga dibutuhkan kegiatan edukasi cara peningkatan produksi ASI selama menyusui. Penyuluhan ini dilakukan oleh teman sebaya (peer educator) dengan materi peningkatan produksi ASI selama menyusui. Tujuan kegiatan ini adalah peningkatan pengetahuan dan pemahaman ibu tentang cara meningkatkan produksi ASI. Kegiatan ini dilakukan di Klinik LMT Siregar. Metode yang digunakan adalah penyuluhan oleh teman sebaya dengan sasaran 25 ibu hamil. Sebelum dan sesudah kegiatan dilakukan pengukuran pengetahuan peningkatan produksi ASI oleh peserta. Materi penyuluhan yakni pengertian ASI ekslusif, teknik menyusui yang benar, penyebab rendahnya atau penurunan produksi ASI dan penanganannya, masalah yang dapat ditemukan pada saat menyusui dan penanganannya, dan nutrient yang dapat dikonsumsi untuk meningkatkan produksi ASI. Hasil kegiatan ini adalah adanya peningkatan pengetahuan peserta dalam peningkatan produksi ASI. didapati sebelum dilakukan penyuluhan didapati 84% peserta berpengetahuan kurang baik tentang cara peningkatan produksi ASI dan hanya 16 % berpengetahuan baik. Setelah dilakukan penyuluhan didapati perubahan kategori pengetahuan yang lebih baik. Pengetahuan peserta mayoritas menjadi berpengetahuan baik (96 %) dan hanya 4% saya berpengetahuan kurang baik. Seluruh peserta antusias dalam mengikuti kegiatan ini terbukti pada saat sesi diskusi yang aktif.
KUALITAS PELAYANAN KUNJUNGAN NEONATAL DENGAN TINGKAT KEPUASAN PASIEN DI PUSKESMAS DOLOK MERAWAN KABUPATEN SERDANG BEDAGAI Sunengsih, Sunengsih; Aritonang, Barita; Ginting, Desideria Yosepha
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 4 (2023): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i4.1643

Abstract

One of the efforts to reduce the risk of infant mortality (IMR) such as premature birth, sepsis and pneumonia, shortness of breath and trauma and LBW is the visit of newborns (neonatal). Newborn visits are one of the intervention options to reduce newborn mortality and comprehensively measure the capacity of care to provide healthy newborn delivery services for mothers and children. The reduction in infant mortality must be accompanied by a high coverage of newborn visits. Reducing infant mortality is currently not up to par, so the quality of newborn care visits should be investigated more closely. The purpose of this study was to determine the quality of neonatal visit services at the Dolok Merawan Health Center, Serdang Bedagai Regency in terms of aspects of physical appearance (tangible), reliability (reliability), ability to understand (emphaty), responsiveness (responsiveness), and assurance of certainty (assurance). This research is a qualitative research with a phenomenological approach. Data collection was carried out in the form of observations, interviews, and focus group discussions (FGD) using the analytical technique. The results of the research conducted provide a statement that the quality of neonatal visit services has not run optimally. Of the five dimensions of service quality, there are four (4) service dimensions that are not optimal in supporting patient satisfaction. These four things are the midwife did not prepare a complete examination and only weighed, measured the temperature and recorded it in the visit book; midwives do not always make complete neonatal visits, lack of time for neonatal visit services, midwives rush to explain their illness, cramped neonatal visit service rooms where examination rooms are not separated from one another, and inadequate waiting rooms. Suggestions for institutions related to chair facilities in the waiting room are added to review and collect data on tools and facilities at the Puskesmas to procure or add and improve professionalism in carrying out neonatal visits.
Analysis of the Implementation of Health Promotion Strategies in the Utilization of Posbindu PTM by At-Risk Groups in the UPTD Working Area of Silau Laut Health Center, Asahan Regency in 2024 Renta, Marlina; Desideria Yosepha Ginting; Agustinus Sitepu
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 1 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i1.2337

Abstract

The low awareness among the community to participate in Posbindu is influenced by the lack of promotion for the Posbindu program itself. This study aims to analyze the effectiveness of health promotion strategies in increasing community participation in Posbindu PTM in the Silau Laut UPTD Health Center's working area in 2024. Using a qualitative approach with interview and observation methods, this research found that the low awareness among the community to participate in Posbindu was caused by a lack of socialization and long distances. In response, the Health Center has implemented various promotional efforts. The research results show that collaboration between the Health Center, cadres, and community leaders is crucial in increasing participation. However, more measured and sustainable strategies are needed to overcome geographical challenges. This study highlights the important role of local government in supporting the Posbindu program and provides recommendations for developing more effective health promotion programs.
Education on Exclusive Breastfeeding to Breastfeeding Mothers in the Pustu Sugiharjo Dusun II Village Batang Kuis Saragih, Astri Ulina; Ginting, Desideria Yosepha
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2402

Abstract

Exclusive breastfeeding plays a crucial role in the health of mothers and infants. Providing exclusive breastfeeding for the first six months of an infant's life can reduce the risk of child mortality and protect mothers from various diseases, including breast cancer. Despite its clear benefits, the global rate of exclusive breastfeeding remains low, with less than 40% of infants receiving exclusive breast milk. Factors such as maternal health issues, breast pain, and social stigma around breastfeeding in public often act as barriers. Method this program was implemented through a series of educational activities, including lectures, discussions, and Q&A sessions, emphasizing the importance of breast milk for the health of both mothers and infants. The outreach was attended by 20 breastfeeding mothers and took place on Friday, November 15, 2024, lasting 1 hour and 45 minutes. The program aims to encourage more mothers to adopt healthy breastfeeding practices. With ongoing support and guidance, it is hoped that awareness of the benefits of exclusive breastfeeding will increase, positively impacting the health of mothers, infants, and families. The program also highlights the importance of collaboration among healthcare providers, the government, and the community to create an environment that supports exclusive breastfeeding. As a result of this activity, breastfeeding mothers gained information and education about the importance of exclusive breastfeeding and how to implement it during the first six months after birth, particularly in the Sugiharjo Dusun II, under the jurisdiction of Pustu Desa Sugiharjo Batang Kuis.
Socio-Cultural Influence on Stunting Incidence in Children Aged 0 – 59 Months In Tarempa Village, Siantan District, Anambas Islands Regency In 2025 Christ Natalin Sitorus; Felix Kasim; Desideria Yosepha Ginting
Jurnal Indonesia Sosial Sains Vol. 6 No. 6 (2025): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v6i6.1744

Abstract

Tarempa Village is a village with the highest stunting rate in Tarempa Village, Siantan District, which is 7.14%. Socio-cultural factors are characteristics of a nation or region that can form patterns of community behavior, which may have an indirect impact on health, derived from hereditary beliefs and traditions. Some of these are in line with health rules, while others are less aligned, and they are involved in their roles within the cultural, social, economic, and health service systems. This study aims to analyze the socio-cultural influence on the incidence of stunting in children aged 0–59 months in Tarempa Village, Siantan District, Anambas Islands Regency. The research sample consisted of 101 parents of toddlers, selected using a purposive sampling technique. The research design used is a Mixed Method. Data collection was carried out using questionnaires and the in-depth interview method. Questionnaire tests were used to guarantee the validity and reliability of the instrument. The study showed a significant influence of cultural, social, and health service systems on the incidence of stunting (p < 0.05) in Tarempa Village, Siantan District, Anambas Islands Regency. There is a significant influence between cultural, social, and health care systems and stunting. The researcher suggested that indigenous leaders should be directly involved in KIE (communicative, informative, and educational) efforts with the community, parents, and the environment, to play an active role in improving children's nutritional status, as well as the involvement of other stakeholders in realizing a qualified health service system.
Analysis of the implementation of the exclusive breastfeeding policy in the working area of Panombean Panei Health Center Rika Maya Sari Saragih; Sitorus, Rotua Sumihar; Ginting, Desideria Yosepha
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.1782

Abstract

Abstract According to Government Regulation No. 33 of 2012 it is stated that Exclusive Breast Milk, hereinafter referred to as Exclusive Breast Milk, is breast milk given to babies from birth for 6 (six) months, without adding and/or replacing it with other food or drinks. . The impact if the mother does not give exclusive breastfeeding, the baby will be at risk of experiencing health problems and being susceptible to infection. This research is a descriptive qualitative research. The research was conducted at the Panombean Panei Health Center. The research informants were 7 people, the samples were taken by snowballing. Data were analyzed in depth in narrative form by means of data reduction, data presentation, drawing conclusions/verification.The results of the study show that the implementation of the exclusive breastfeeding program at the Panombean Panei Health Center has not been maximized, for the last 4 years the average <40% is still far from the national target of 85%. Bureaucratically, the parties responsible for and involved in the exclusive breastfeeding program are the head of the Puskesmas, the MCH program holder, the nutrition program holder, and the village midwife. Recording and reporting is carried out by the village midwife every month and the health center reports to the Simalungun District Office at the beginning of the month. The resources of health personnel in promoting the exclusive breastfeeding program are sufficient. ASI corner is available but not utilized. Facilities and infrastructure for counseling are still lacking such as leaflets and booklets. The source of funds comes from Health Operational Assistance (BOK) combined with other MCH programs. There is no charge for the implementation of the exclusive breastfeeding program. The disposition or attitude of health workers is good and friendly in providing counseling about exclusive breastfeeding, providing information that is easily understood by mothers. Not all mothers can attend posyandu because of work. Supervision is not carried out specifically and the sanctions are only in the form of a warning. Communication in the implementation of the exclusive breastfeeding program was carried out by health workers by going into the field providing counseling or education by cooperating with the village midwife by forming a class for pregnant women and a class for babies. The frequency of counseling is not routine because the area of the Panombean Panei Health Center is wide. Keywords: Application of Policy, Exclusive Breastfeeding Program, Health Center
Improving the Standardization of Human Resource Quality in Clinical Services Gultom, Christa Natalia; Desideria Yosepha Ginting; Bambang Sumantri; Agustatius Sitepu
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2730

Abstract

Background: Health Human Resources (HRH) include professional health workers, strategic personnel, non-professional staff, and supporting personnel who contribute to healthcare management and delivery to achieve the highest possible standard of public health. The quality of HRH is a key determinant of healthcare service quality, particularly  at  the clinic level. Objectives: To assess the quality of HRH at Santa Maria Palipi Clinic, identify the barriers to improving HRH quality, and describe the efforts made to enhance HRH standards. Research Methods: This study employed a descriptive qualitative approach involving 15 informants: 2 key informants, 6 staff members of Santa Maria Palipi Clinic, and 7 patients or their families. Data were collected through observation and in-depth interviews. Results: The study found that the quality of HRH at Santa Maria Palipi Clinic has not fully met the established standards. Major challenges include difficult-to-change individual characteristics, lack of compliance with existing regulations, limited personnel, and poor collaboration among clinic staff. Efforts to address these issues include regular evaluations and training provided by both the clinic leadership and supporting foundations. Conclusion: Santa Maria Palipi Clinic must continue to improve HRH quality to meet service standards. Strong commitment, continuous training, and better teamwork among health workers are essential strategies for enhancing healthcare service quality.
Health Education and Uric Acid Examination for the Elderly in Region IV Pasar 0, Working Area of Lubuk Pakam Health Saragih, Astri Ulina; Ginting, Desideria Yosepha; Turnip, Meria; Yulanda, Risky; Natalia, Santa
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jm2ak778

Abstract

Hyperuricemia, or elevated uric acid levels in the blood, is a common condition among the elderly and may lead to gout arthritis, a painful inflammatory joint disease. This condition is closely related to other degenerative diseases such as hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular disorders. Global data indicate that the prevalence of gout in the elderly reaches 2,505.4 per 100,000 people, making it a significant public health concern. In Indonesia, the prevalence of hyperuricemia in the elderly varies by region, with some reporting up to 18.6%. In Deli Serdang Regency, specifically in Namorih Village, Pancur Batu Subdistrict, a study found that 42.5% of elderly individuals had elevated uric acid levels .This community service aimed to increase awareness and knowledge among the elderly about the prevention and management of hyperuricemia through health education. The method used was an interactive educational session that included lectures and discussions. The activity took place on Apr22, 2025, in Region IV under the working area of Lubuk Pakam Health Center, involving 20 elderly participants.The results showed a significant increase in participants' understanding regarding healthy lifestyle choices, including low-purine diets, regular physical activity, and the importance of regular uric acid screening. Active engagement during discussions demonstrated the participants' enthusiasm to apply the knowledge in their daily routines. .In conclusion, health education using lecture and discussion methods proved effective in enhancing elderly awareness regarding hyperuricemia prevention and control. Similar activities are recommended to be conducted regularly in other regions to improve elderly quality of life .